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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Open incisional hernia repair under local anaesthesia
M Donati1, G Brancato, A Donati
1Department of Surgical Sciences, Organ Transplantations and New Technologies, O.U. General Surgery and Week Surgery, University Hospital of Catania, Catania, Italy. mar_donati@libero.it
Acta Chirurgica Belgica
|March 24, 2010
Summary
This study demonstrates that open preperitoneal mesh repair for incisional hernias under local anesthesia is safe and effective. The procedure offers a feasible, cost-effective option with excellent long-term outcomes and minimal complications.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Anesthesiology
Background:
- Incisional hernias present a significant surgical challenge.
- Open mesh repair is a common approach.
- Local anesthesia offers potential benefits for patient recovery and cost.
Purpose of the Study:
- To evaluate the feasibility and safety of an open preperitoneal mesh technique for incisional hernia repair.
- To describe the technical details and outcomes of this procedure under local anesthesia.
- To assess the efficacy and long-term results of this approach.
Main Methods:
- A retrospective review of 129 patients undergoing open mesh incisional hernia repair.
- Selection criteria included hernia orifice size (<10 cm), reducibility, and absence of obstruction.
- 71 patients were selected for repair under local anesthesia.
Main Results:
- Median operative time was 101 minutes.
- Only 2.8% of patients required conversion to general anesthesia.
- 97.2% of patients ambulated immediately post-operation, with 63.4% discharged within 24 hours.
- A low recurrence rate of 2.8% was observed during long-term follow-up.
Conclusions:
- Open preperitoneal mesh repair under local anesthesia is a feasible, safe, and effective treatment for selected incisional hernias.
- The technique is associated with low intraoperative risk, cost-effectiveness, and favorable long-term results.
- This approach represents a valuable option for incisional hernia management.
